| 11/13/2013 |
| 08:37:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RANGEL, MICHEAL, | A3-MEDICAL289 | R | 110.00 | 4625********2183 | 013754 | 11/13/13 |
| RODRIGUEZ, FERN, | A3-11172 | R | 32.48 | 5178********9077 | 08510Z | 11/13/13 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 32.48 |
| 1 | Visa | 110.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 142.48 |